| NPI | 1750306692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M SUE COFFEE Office Manager 800-292-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-07-01 |